August M Wallace Enterprises, LLC
NPI #1114220738 in Lancaster, South Carolina
Provider Information
- NPI Number
- 1114220738
- Entity Type
- Organization
- Organization Name
- August M Wallace Enterprises, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 21, 2010
- Last Updated
- Dec 21, 2010
Practice Location
- Address
- 805 HIGHWAY 9 BYP W
- City
- Lancaster
- State
- South Carolina
- ZIP Code
- 29720
- Phone
- (803) 286-4836
Authorized Official
- Name
- DR. AUGUST M WALLACE, OD
- Title
- OWNER
- Phone
- (803) 201-8526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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